Dr Jason Kole, DO | |
1423 Chicago Rd, Chicago Heights, IL 60411-3400 | |
(708) 756-1000 | |
Not Available |
Full Name | Dr Jason Kole |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1423 Chicago Rd, Chicago Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043251317 | NPI | - | NPPES |
4622394 | Other | BLUE CROSS | |
036095671 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-095671 (Illinois) | Primary |
Entity Name | Kennekuk Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659523777 PECOS PAC ID: 0244395739 Enrollment ID: O20090217000467 |
Entity Name | Harvey Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184281651 PECOS PAC ID: 9436486560 Enrollment ID: O20190812001944 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Kole, DO 555 W Court St, Kankakee, IL 60901-3675 Ph: (888) 828-3192 | Dr Jason Kole, DO 1423 Chicago Rd, Chicago Heights, IL 60411-3400 Ph: (708) 756-1000 |
Dr. Marina Bekic, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Dr. Sharona Bryant, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Dr. Catherine M Baxtrom, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Sandra Grochowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 E 15th St, Chicago Heights, IL 60411 Phone: 312-206-1064 Fax: 708-991-2630 | |
Jessen Dean Schiebout, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-709-1000 | |
Dr. Gregory George Olmsted, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 |